Victoria A Prindiville, LPC, NCC
Individual provider Active NPI Mental Health Counselor · Rumson, NJ
NPI 1053978684 · NPPES record last updated May 20, 2019
Key facts
- NPI
- 1053978684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37PC00663000 (NJ)
- Practice address
- 25 E River Rd
Rumson, NJ 07760-1626 - Phone
- (630) 664-8252
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00663000 | NJ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00663000 | NJ | Yes |
Addresses
Primary practice location
25 E River Rd
Rumson, NJ 07760-1626
Mailing address
25 E River Rd
Rumson, NJ 07760-1626
Phone (630) 664-8252
Other providers in Rumson, NJ
- Jennifer O'Dea
- Michelle O'Keefe
- Amit Patel
- Joseph F Perry
- Dina Polidori
- Providing Hope, Inc.
- John Douglas Royall
- Rumson Pharmacy NJ LLC
- Kelly Ryan-Gazdus
- Kristen Ryan
All providers in Rumson, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.